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705 REDFIN DR RES24-0041 Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: 3uilding-Dept@coab.us IS REQUIRED. Job Address: 705 1--C-OFtrI Did Permit Number: 13 ES C4 a 004 Legal Description 30-`l'( ti-25-290 i2oYQt'PU ut4 cr2- Lo-r2 31\r_g RE# t112--�5-oot.x) Valuation of Work(Replacement Cost)$ 50, 000 Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition XAlteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑CommercialResidential • If an existing structure, is a fire sprinkler system installed?: ❑Yes ((lo • Will tree(s) be removed in association with proposed proiect? ❑Yes(must submit separate Tree Removal Permit) ZNo Describe in detail the type of work to be performed: .J GIA3 IN I Fl 1-,,u01/4.1:j S ID r vfLS V. I %C,I-1 / jL>�C��t\ [S STA` T JF i s ��"�"" N rrt .t-ic1i1 Florida Product Approval# L ED Pr_ vi-tpoc!v�Af u24- Cl or multiple products use product approval form Property Owner Information Name Mil' 1--li(\i'?S Address 705- ?-t✓`AF ITI 7z.._ City 4 .3• State E) Zip -3-7._233 Phone `tOc/- 7ci(o-/So o E-Mail j- dl( (PS 't3ui(t -2S@CoP-te-L\-S'\-- N&--1--- Owner t✓'T— Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company 7[-t i(lt1)S�Uttbl- S Qualifying Agent 'I R A ---0,V P.S Address cle12. Oci '3\'.117 City 1st-3 State c1 Zip 32233 Office Phone e1oLi-Zr-f(o- ISMO Job Site Contact Number 96y-7 5S- cj4`/9 State Certification/Registration# L$(12 5/3 (L--t E-Mail -t rllt' S Sv tkDC fzS@C,o' Ca5T-. I Architect Name&Phone# Engineer's Name& Phone# Workers Compensation Insurer OR ExemptX Expiration Date 7/2/ /2`/ _ Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT:I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR Ai ORNEY BEFORE RECORDING YO R j TICE OF COMMENCEMENT. Air2jil/ (Signature of OJr;or 'gent) (Si.,.ture of Contractor) Sign�, a sworn to(or affirmed)d) efore m hi day of Sifned and sworn to(or affirm before me this rj day of '�Za� _�__ by 2448 ps 1-ez - t ,v11 , by1G e�h,4;•=2,1 III, / " (Sign.ture 'L on- ) (Signatur f tary) 1 :4•• ' ;•: ERIN MARIE STEHL ! ,•„AYvq '; ERIN MARIE STEHL Pe sonall Known ORL.A ;# MY COMMISSION#HH 290616 IA-54,-sonally Known OR a I l Y krProduced MY COMMISSION#HH 29 'I” �`" °` Produced Identificatio u Q6� reduced Identificati :+, .�.•P= EXPIRES:October 14,2026 L � ��`"O; •:FOF FSO c:,. - EXPIRES:oP; EXPIRES:October 14,20 ,pe.f Identificatior�L�OC- Type of Identification: I • NOTICE OF COMMENCEMENT State of F Tax Folio No..E 11 1215-- °`'' County of DU VA-1 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: /71 Z7 S-Coco 30-cp./ 1.7-25-2$i 12oy4\ vurT 7— /-0T 2- L0T2- 13\ 8 Address of property being improved: -TOS RED F-1 of l7� 3ZZ33 _ General description of improvements: l 1 -40,1 r"obS Owner: l`1 U-E i ti t((l?S Address: f/2- Owner's interest in site of the improvement: /`'t01Dt✓ I Fee Simple Titleholder(if other than owner): _ Name: Contractor: h4-I.k111•PS 'FAA lD�(zS Address: Ct9 Z cEE4�J 31 V 17 Telephone No.: C/Z`((p—I5a o Fax No: Surety(if any) _ Address: Amount of Bond $ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording • ess a • - • specified): 4'Au( THIS SPACE FOR RECORDER'S USE ONLY OWNER j7/, `'"r'`Oo ERIN MARIE STEHL - i #= MYCOMMISSION#HH290616 Signed: (see' EXPIRES:October 14,2026 Doc#2024032729,OR BK 20953 Page 550, . �•-' Number Pages: 1 Before me tis 5 day o • i Recorded 02/15/2024 11 53 AM, Of Florida, has personally appeared JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Notary Public at Large,State of Florida,County of Duval. COUNTYMy commission expires: /0 '79 RECORDING $10.00 Personally Known: e. .,hfAr4i24�47Or Produced Identification: • R .- } 9T <V 1 $ 7 1 •r Y s. + . 7 v s^ l• • 1, �: „,,-;s - 1' 1 •